Individual
KI-HYUK YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2110 DORCHESTER AVE STE 203, DORCHESTER, MA 02124
(617) 696-5355
(617) 696-5357
Mailing address
2110 DORCHESTER AVE STE 203, DORCHESTER, MA 02124-5699
(617) 696-5355
(617) 696-5357
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MA2398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099331A
—
MA
Enumeration date
07/09/2010
Last updated
12/19/2018
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